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JUSTIN BLAKE GAMBRELL D.O.
NPI 1801211297
Surgery in Williamsburg, VA

Active since February 21, 2014PECOS EnrolledAccepts Medicare Assignment
500 SENTARA CIR STE 202, WILLIAMSBURG, VA 23188(757) 984-9850(757) 345-6643 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Jun 15, 2023 (2 updates tracked since 2023).

About Justin Blake Gambrell D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN BLAKE GAMBRELL D.O. (NPI 1801211297) is an individual surgery provider in Williamsburg, Virginia, licensed in Virginia (0102204207) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1801211297
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUSTIN BLAKE GAMBRELLCredential: D.O.
Location Address500 SENTARA CIR STE 202Williamsburg, VA 23188-5727
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-2518
Phone(757) 984-9850
Fax(757) 345-6643
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2014
Enumeration DateFebruary 21, 2014
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1801211297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0102204207
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
500 SENTARA CIR STE 202, Williamsburg, VA 23188
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Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-2518

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Blake Gambrell D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062953359
PECOS Enrollment IDI20240926002683, I20241028002276
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Gambrell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcv Associated Physicians
40 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Sentara Medical Group
45 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900
Dominion Health Medical Assoc
102 mi
Legal Medicine
946 N. MAIN ST
Chase City, VA 23924
  • Reassigned Medicare billing, Virginia enrollment
  • 82 clinicians in this Medicare group
NPI 1689772238 (434) 372-5141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490013
Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County
Emergency services

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES RAY DANIELS JR. MD
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
DIANE RENEE WEIDNER
Nurse Practitioner (Family)
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (724) 991-8242
CHRISTINA MCCORMICK MD
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
RYAN ANDREW CARVER MD
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
MS. JESSICA JOY OVERTON PA-C
Physician Assistant
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
DR. LAURA MARIE FLUKE D.O.
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
DR. LESLIE MARIE MCDONOUGH M.D.
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850
MRS. STACEY HARRIS TADLOCK FNP-BC
Nurse Practitioner (Family)
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
James City County (757) 984-9850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Gambrell's NPI number?

The NPI number for Justin Gambrell is 1801211297. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Justin Gambrell located?

Justin Gambrell practices at 500 Sentara Cir Ste 202, Williamsburg, VA 23188. The listed phone number is (757) 984-9850.

What is Justin Gambrell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Gambrell enrolled in Medicare?

Yes. Justin Gambrell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Gambrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gambrell reassigns Medicare benefits to 3 organizations: Mcv Associated Physicians (Richmond, VA), Sentara Medical Group (Norfolk, VA) and Dominion Health Medical Assoc (Chase City, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Gambrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Gambrell accept?

Health plans from Oscar Health list Justin Gambrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Gambrell affiliated with any hospitals?

According to CMS data, Justin Gambrell is affiliated with Sentara Halifax Regional Hospital and Sentara Williamsburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Gambrell was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.